目的  探讨护理本科生急危重症监护课程改革方法与效果。 方法  主要课程改革内容为：聘请临床专家进行理论授课，采用VCD、CAI课件等教学手段，采用讲授法与讨论法相结合的教学方法；通过学生去医院急诊科和重症监护病房学习，扩大实践教学环境范围，在实验室教学中设计情景模拟训练；期末对学生进行理论和操作考核，并采用教学过程评价量表对学生进行问卷调查。 结果  127名学生考核得分（81.80±5.72）分；教学过程评价量表总体得分（134.12±10.65）分。 结论  学生成绩较理想，对教学过程总体评价较好，但仍存在临床教学环境不稳定、理论授课临床专家缺乏与学生连续有效的沟通、授课过于强调实用性、对教学目标把握不完全一致等有待改善的问题。

 Objective  To explore the methods and effects of teaching reform in the course of Emergent and Critical Care for undergraduate nursing students. Methods  The main measures included inviting clinical experts to participate in theoretical teaching； applying videos and CAI teaching materials，expanding practical settings by sending students to emergency department and intensive care units（ICU），and carrying out scenario simulation in lab teaching. The students took the final theory and skills exam and were investigated with a self-designed questionnaire. Results  The mean score of the 127 students in the final exam was（81.80±5.72） and the score of teaching process rated by the students was（134.12±10.65）. Conclusion  The students’ performance in the final exam is satisfactory and the students gave high appraisal on the teaching process. However，there are still several problems to be solved such as unstable clinical teaching settings lack of effective communication between students and clinical experts，over-emphasizing on the practicability of teaching and discrepancy on the understanding of teaching objectives.